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一种音乐治疗策略对老年抑郁症患者的影响。

Effects of a music therapy strategy on depressed older adults.

作者信息

Hanser S B, Thompson L W

机构信息

Stanford University School of Medicine.

出版信息

J Gerontol. 1994 Nov;49(6):P265-9. doi: 10.1093/geronj/49.6.p265.

DOI:10.1093/geronj/49.6.p265
PMID:7963281
Abstract

A music-facilitated psychoeducational strategy was developed as a cost-effective and accessible intervention for older adults experiencing symptoms of depression, distress, and anxiety. Thirty older adults who had been diagnosed with major or minor depressive disorder were randomly assigned to one of three 8-week conditions: (1) a home-based program where participants learned music listening stress reduction techniques at weekly home visits by a music therapist; (2) a self-administered program where participants applied these same techniques with moderate therapist intervention (a weekly telephone call); or (3) a wait list control. Participants in both music conditions performed significantly better than the controls on standardized tests of depression, distress, self-esteem, and mood. These improvements were clinically significant and maintained over a 9-month follow-up period. The potential for this type of intervention with homebound elders and others who have limited access to services is discussed.

摘要

一种音乐辅助的心理教育策略被开发出来,作为一种经济高效且易于获得的干预措施,用于帮助有抑郁、痛苦和焦虑症状的老年人。30名被诊断患有重度或轻度抑郁症的老年人被随机分配到三种为期8周的情况之一:(1) 一个居家项目,参与者在音乐治疗师每周的家访中学习音乐聆听减压技巧;(2) 一个自我管理项目,参与者在治疗师适度干预(每周一次电话)的情况下应用这些相同的技巧;或者(3) 一个等待名单对照组。参与两种音乐干预情况的参与者在抑郁、痛苦、自尊和情绪的标准化测试中表现明显优于对照组。这些改善具有临床意义,并在9个月的随访期内得以维持。本文还讨论了这种干预措施对居家老人和其他获得服务机会有限的人群的潜力。

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